For the Previous Patient, You Have Evaluated Her with the Previous

question 11

Multiple Choice

For the previous patient, you have evaluated her with the previous test and find that she has a pathologic (very large) amount of reflux. She is responding well to medication but does not want to take it for the rest of her life. She would like to consider surgery. What would you do next?

• A) Tell her that she has to take medication to alleviate her reflux.
• B) Refer her to gastroenterology for an endoscopy and further preoperative testing.
• C) Recommend diet modification.
• D) Refer her to an upper gastrointestinal surgeon to consider surgery.

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